In the event of interference, questions should be directed to licensee's technical representative:

Name

Telephone Number (include area code, omit dashes)

CertificationI hereby certify that the statements in this application are true, complete, and correct to the best of my knowledge and belief, and are made in
good faith. I acknowledge that all certifications and attached Exhibits are considered material representations.

We have estimated that each response to this collection of information will take on average 1 hour. Our estimate includes the time to read the
instructions, look through existing records, gather and maintain the required data, and actually complete and review the form or response. If
you have any comments on this burden estimate, or on how we can improve the collection and reduce the burden it causes you, please e-mail
them to pra@fcc.gov or send them to the Federal Communications Commission, AMD-PERM, Paperwork Reduction Project (3060-1034),
Washington, DC 20554. Please DO NOT SEND COMPLETED APPLICATIONS TO THIS ADDRESS. Remember - you are not required to
respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection,
unless it displays a currently valid OMB control number of if we fail to provide you with this notice. This collection has been assigned an
OMB control number of 3060-1034.

THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, P.L.104-13, OCTOBER 1, 1995,
44 U.S.C. 3507.